HomeMy WebLinkAboutBUSINESS PLAN~ RIGHT HEALTHCARE, INC.
1121 W. COLUMBUS STREET
' ~. ~~
~ /
RIGHT HEALTHCARE INC
Manager JAMES EBLING
Location: 1121 W COLUMBUS ST
City BAKERSFIELD
CommCode: KCFD STA 64
EPA Numb:
SiteID: 015-021-002047
BusPhone: (661) 326-6717
Map 103 CommHaz Low
Grid: 18C FacUnits: 1 AOV:
SIC Code:4925
DunnBrad:77-048-8108
Emergency Contact / Title Emergency Contact / Title
KIMBERLI EBLING / PRESIDENT HERIBERTO DIAZ / SALES
Business Phone: (661) 326-6717x Business Phone: (661) 326-6717x
24-Hour Phone (661) 333-5702x 24-Hour Phone (661) 333-4904x
Pager Phone ( ) - x Pager Phone (661) 869-9034x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact KIMBERLI EBLING Phone: (661) 326-6717x
MailAddr: PO BOX 22320 State: CA
City BAKERSFIELD Zip 93390-2320
Owner RIGHT HEALTHCARE INC Phone: (661) 326-6717x
Address PO BOX 22320 State: CA
City BAKERSFIELD Zip 93394-2320
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~~'p Jl~~ ~ a ~.;~u
used on my inquiry of those individuals
responsible for obtaining t:he information, I rectify
unc~~;~ penalty cs iav~t that I have personally
examined Arad ~,m familiar ~nrth thQ information
submitted anc~ i~c;`=eve the information is true,
accurate, and complete.
~J~
Signatures
Date
-1- 07/13/2007
7
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~`
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
OXYGEN F IH DH G 2400.00 FT3 Low
-2- 07/13/2007
-3- 07/13/2007
J
F RIGHT HEALTHCARE INC
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
WHSE
STATE TYPE T PRESSURE _
Gas Pure I Above Ambient
SiteID: 015-021-002047 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7782-44-7
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Con23100rFT3 Daily2400100m FT3 I Daily1600r00e FT3
ntiGtircLVU~ ~.vrirvlvr,ivlS
oWt. RS CAS#
100.00 Oxygen, Compressed No 7782447
I11-1GH.RL liJ .7P~.7~71~1tS1V 1 ~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 07/13/2007
F RIGHT HEALTHCARE INC SitelD: 015-021-002047 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/28/2006 ~
UPON RECEIPT/DELIVERY OF TANKS, THE TECHNICIAN WILL CHECK FOR LEAKS USING
SOAP AND WATER. DAMAGED TANKS WILL BE REPORTED TO .MANAGEMENT, DOCUMENTED
AND THEN RETURNED TO THE SUPPLIER.
Employee Notif./Evacuation 04/28/2006
EMPLOYEES SHALL CONTACT MANAGEMENT IMMEDIATELY REGARDING ANY TYPE OF SPILL.
IF THE SPILL IS LIFE THREATENING, THE EMPLOYEE IS TO NOTIFY 911 AND THE
OFFICE OF EMERGENCY SERVICES AT 800-852-7550. IF THE INCIDENT IS NOT AN
EMERGENCY, THE FIRE DEPT WILL BE NOTIFIED.
Public Notif./Evacuation
10/18/2000
WHOMEVER IDENTIFIED THE PROBLEM FIRST SHALL NOTIFY MANAGEMENT AND DOCUMENT
THE INCIDENT. MANAGEMENT WILL THEN CONTACT THE FIRE DEPT.
Emergency Medical Plan 04/28/2006
UPON ANY MEDICAL EMERGENCY EMPLOYEE WILL CALL 911. FOR ANY NON-EMERGENCY
INJURIES, EMPLOYEE IS TO GO TO BUSINESS HEALTH NETWORK AT: 6401 TRUXTUN
AVE, STE 280, 326-7356. MANAGEMENT IS TO BE NOTIFIED IN ALL INSTANCES.
-5- 07/13/2007
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/28/2006 ~
ALL CYLINDERS ARE CONTAINED IN A CYLINDER CART. ALL REMAIN IN AN UPRIGHT
POSITION AT ALL TIMES. CYLINDERS ARE CHECKED FREQUENTLY FOR DAMAGES AND/OR
LEAKS.
Release Containment
04/28/2006
ALL HAZARDOUS MATERIAL IS KEPT IN THE WAREHOUSE IN CYLINDER CARTS TO ENSURE
THAT ANY RELEASE OF MATERIAL IS CONFINED TO A SMALL AREA. THE ONLY
HAZARDOUS MATERIAL KEPT ON SITE IS OXYGEN.
Clean Up 10/18/2000
IN THE INSTANCE OF A SPILL OR LEAK, BAY DOOR IS TO BE OPEN TO ALLOW FOR
VENTILATION AND CYLINDERS ARE TO BE REMOVED AND RETURNED TO THE PROPER
VENDOR.
Other Resource Activation
-6- 07/13/2007
~.
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
apec;lal ridzaru5
Utility Shut-Offs 05/22/2007
GAS - SE CRNR OF BLDG
ELECTRICAL - SE CRNR OF BLDG
WATER - NE SIDE OF BLDG FRONT
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - 100YDS W OF BLDG IN ALLEY.
02/06/2007
Building Occupancy Level 03/03/2006
16 EMPLOYEES
-7- 07/13/2007
,~, ~,.
.•
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/28/2006 ~
MSDS SHEET COPIES IN RED BINDERS ON EACH DESK.
BRIEF SUMMARY OF TRAINING PROGRAM: DESCRIPTION OF THE HAZARDOUS MATERIALS,
IMMEDIATE HAZARDS TO HEALTH, RISKS OF FIRE OR EXPLOSION, IMMEDIATE
PRECAUTIONS TO BE TAKEN IN THE EVENT OF AN ACCIDENT OR INCIDENT, IMMEDIATE
METHODS FOR HANDLING SMALL OR LARGE FIRES, INITIAL METHODS FOR HANDLING
SPILLS OR LEAKS IN THE ABSENCE OF FIRES AND PRELIMINARY FIRST AID MEASURES.
rays ~
ncl.u ivi ru~uic vac
raciu ivi rut..uic vac
-8- 07/13/2007
F RIGHT HEALTHCARE INC
~a~Y~
Manager c~~i.(h25 ~~\~
Location: 1121 W COLUMS S ST
City BAKERSFIELD
CommCode: KCFD STA 64
EPA Numb:
SitelD: 015-021-002047
BusPhone: (661) 326-6717
Map 103 CommHaz Low
Grid: 18C FacUnits: 1 AOV:
SIC Code:4925
DunnBrad:77-048-8108
Emergency Contact / Title Emergency Contact / Title
KIMBERLI EBLING / PRESIDENT HERIBERTO DIAZ / SALES
Business Phone: (661) 326-6717x Business Phone: (661) 326-6717x
24-Hour Phone (661) 333-5702x 24-Hour Phone (661) 333-4904x
Pager Phone ( ) - x Pager Phone (661) 869-9034x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact KIMBERLI EBLING Phone: (661) 326-6717x
MailAddr: PO BOX 22320 State: CA
City BAKERSFIELD Zip 93390-2320
Owner RIGHT HEALTHCARE INC Phone: (661) 326-6717x
Address PO BOX 22320 State: CA
City BAKERSFIELD Zip 93390-2320
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif ~ d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT ~~
F3ased on my inquiry of those individuals
if , MAY 2 2 207
ENT p
y
respcn,ible for obtaining the information, 1 cert
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
Si ature ^ ~ a~ ,
-1- 05/17/2007
F RIGHT HEALTHCARE INC SitelD: 015-021-002047 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
OXYGEN F IH DH G 2400.00 FT3 Low
-2- 05/17/2007
-3- 05/17/2007
~ RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
7782-44-7
~GdSATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE
TPure I Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
23.00 FT3 2400.00 FT3 1600.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
t1L-~GH.tCL H.7.71;.7.71"11;,1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 05/17/2007
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/28/2006 ~
UPON RECEIPT/DELIVERY OF TANKS, THE TECHNICIAN WILL CHECK FOR LEAKS USING
SOAP AND WATER. DAMAGED TANKS WILL BE REPORTED TO MANAGEMENT, DOCUMENTED
AND THEN RETURNED TO THE SUPPLIER.
Employee Notif./Evacuation 04/28/2006
EMPLOYEES SHALL CONTACT MANAGEMENT IMMEDIATELY REGARDING ANY TYPE OF SPILL.
IF THE SPILL IS LIFE THREATENING, THE EMPLOYEE IS TO NOTIFY 911 AND THE
OFFICE OF EMERGENCY SERVICES AT 800-852-7550. IF THE INCIDENT IS NOT AN
EMERGENCY, THE FIRE DEPT WILL BE NOTIFIED.
Public Notif./Evacuation
10/18/2000
WHOMEVER IDENTIFIED THE PROBLEM FIRST SHALL NOTIFY MANAGEMENT AND DOCUMENT
THE INCIDENT. MANAGEMENT WILL THEN CONTACT THE FIRE DEPT.
Emergency Medical Plan
UPON ANY MEDICAL EMERGENCY EMPLOYEE WILL CALL 911. FOR ANY
INJURIES, EMPLOYEE IS TO GO TO BUSINESS HEALTH NETWORK AT:
AVE, STE 280, 326-7356. MANAGEMENT IS TO BE NOTIFIED IN ALL
04/28/2006
NON-EMERGENCY
6401 TRUXTUN
INSTANCES.
-5- 05/17/2007
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/28/2006 ~
ALL CYLINDERS ARE CONTAINED IN A CYLINDER CART. ALL REMAIN IN AN UPRIGHT
POSITION AT ALL TIMES. CYLINDERS ARE CHECKED FREQUENTLY FOR DAMAGES AND/OR
LEAKS.
Release Containment 04/28/2006
ALL HAZARDOUS MATERIAL IS KEPT IN THE WAREHOUSE IN CYLINDER CARTS TO ENSURE
THAT ANY RELEASE OF MATERIAL IS CONFINED TO A SMALL AREA. THE ONLY
HAZARDOUS MATERIAL KEPT ON SITE IS OXYGEN.
Clean Up
10/18/2000
IN THE INSTANCE OF A SPILL OR LEAK, BAY DOOR IS TO BE OPEN TO ALLOW FOR
VENTILATION AND CYLINDERS ARE TO BE REMOVED AND RETURNED TO THE PROPER
VENDOR.
V1.11CL 1CC.~."V U1.UC 1-11.:L1VCiL1V11
-6- 05/17/2007
F RIGHT HEALTHCARE INC SitelD: 015-021-002047 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~7~)C 1: 1011 ncl c. cli u~
Utility Shut-Offs 04/28/2006
A) GAS - SE CRNR OF BLDG
B) ELECTRICAL - SE CRNR OF BLDG
C) WATER - NE SIDE OF BLDG FRONT
D) SPECIAL - N/A
E) LOCK BOX - NO
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - 100YDS W OF BLDG IN ALLEY.
02/06/2007
Building Occupancy Level
16 EMPLOYEES.
03/03/2006
-7- 05/17/2007
it.
1 .. r r
F RIGHT HEALTHCARE INC SiteID: 015-021-002047 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/28/2006 ~
MSDS SHEET COPIES IN RED BINDERS ON EACH DESK.
BRIEF SUMMARY OF TRAINING PROGRAM: DESCRIPTION OF THE HAZARDOUS MATERIALS,
IMMEDIATE HAZARDS TO HEALTH, RISKS OF FIRE OR EXPLOSION, IMMEDIATE
PRECAUTIONS TO BE TAKEN IN THE EVENT OF AN ACCIDENT OR INCIDENT, IMMEDIATE
METHODS FOR HANDLING SMALL OR LARGE FIRES, INITIAL METHODS FOR HANDLING
SPILLS OR LEAKS IN THE ABSENCE OF FIRES AND PRELIMINARY FIRST AID MEASURES.
rayv ~
Held for Future Use
Held for Future Use
-8- 05/17/2007
..
UNIFIED PROGRAM INSPECTION CHECKLIST
-
SECTION 1 Business .Plan and Inventory Program
•
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: _(661) 326-3979 ____
FACILITYNAME ~ INSPECTION DATE INSPECTION TIME
~ ~ ~ ~~~ ( ~
ADDRESS ~ ___.-.. _...._ ..___._ ~__ PHONE No. No. of Empbyees
FACILITYCONTACT ueiness ID Number
.~ It ~1 Y-.- 15-021'
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection
•
C V OPERATION
ti
t
nCe COMMENTS
o
n
l
l V=Vro a
^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ ~ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ .VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITYE
tgI ^ VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
1~ ^ EMERGENCY PROCEDURES ADEQUATE
~I ^ CONTAINERS- PROPERLY LABELED
^ HOUSEKEEPING
^. FIRE PROTECTION ~
- --- --~_---------------..---..._..--------------._...___..---.... -..--.._..
.
~_._....--
--.._..--...__ . ................-------..__.__.._....-------._..._..
-
--
-
-
^ ~ SITE DIAGRAM ADEQUATE 8t ON HANq (
((
1
(
,
,~
,
IP,.~ 1~fT.~ 'i /i h ~~~_
ANY HAZARDOUS WASTE ON SITE: ^ YES J~ NO
EXPLAIN:
•
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979
- -
Inspector (Please Print) _ Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yelknv • Station Copy
a __~~,. ~-. , - -
Business Site Responsible Party (Please
a
Pink • Businea8 Copy
S
+ RIGHT HEALTHCARE INC ________________________________ SiteID: 015-021-002047 +
Manager
Location: 1121 W COLUMBUS ST
City BAKERSFIELD
BusPhone: (661) 326-6717
Map 103 CommHaz Low
Grid: 18C FacUnits: 1 AOV:
CommCode: KCFD STA 64
EPA Numb:
SIC Code:4925
DunnBrad:77-048-8108
Emergency Contact / Title Emergency Contact / Title
KIMBERLI EBLING / PRESIDENT HERIBERTO DIAZ / SALES
Business Phone: (661).326-6717x Business Phone: (661) 326-6717x
24-Hour Phone (661) 333-5702x 24-Hour Phone (661) 333-4904x
Pager Phone ( ) - x Pager Phone (661) 869-9034x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact KIMBERLI EBLING ~ -- -Phone: (661) '3~2b-6717x
MailAddr: PO BOX 22320 State: CA
City BAKERSFIELD Zip 93390-2320
Owner RIGHT HEALTHCARE INC Phone: (661) 326-6717x
Address PO BOX 22320 State: CA
City BAKERSFIELD Zip 93390-2320
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo.:
Emergency Directives: ~
PROG A - HAZMAT
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that i havp personalty
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
yll~/d
Signature
Date
-1- 03/28/2006